Kunyanya kunetseka kunogona kutitadzisa, kana kutidzimisa mumitambo yedu
Kunzwisisa kunonyatsonzwisiswa sekuwedzera kwekutenderera kwematomu. Kunyange zvazvo izvi zvingaita zvakanaka kune firbri pakati pedu, zvinorevei chaizvo ndezvokuti mishonga haifaniri kuita zvakawanda kana kuti nyore nyore sezvavanofanira. Nokuda kweizvi, kushamwaridzana kunokanganisa kufamba, zvichiita kuti chive chiratidzo chemotokari, kusiyana neshoko rekunzwa.
Chii Chinonyanya Kuita?
Kupenga kunowedzera kuitika kakawanda mumakumbo kupfuura mumaoko.
Iyo inowanzoita kunge isinganzwisisiki, zvinoreva kuti yakaipa kana kuti inoitika kakawanda kune rumwe rutivi rwemuviri kupfuura rumwe.
Pane mashoma mashoko anoshandiswa kurondedzera kuparadzanisa kune vanhu vane multiple sclerosis (MS):
Kuwedzera kweSpassa kunoitika kana chikwata, kazhinji gumbo, chichiomesera uye munhu wacho haakwanisi kukotamisa kubatana. Izvi zvinokonzera chikamu, kazhinji gumbo, kuti chibve kubva mumuviri. Inowanzokonzera quadriceps-miviri mikuru iri mberi kwehudyu-zvichiita kuti gumbo rezasi riruramise. Mavara emisungo yeadductor (inowanikwa mukati memumutsoka wepamusoro) ndeyepakati asi anogona kukonzera makumbo omunhu kuti avhare pamwechete zvakasimba, zvichiita kuti zvive zvakaoma kuzvitsaura.
Flexor Spasms inokonzera chikwata chebvumirano, kana kukotama, kune muviri. Mhando iyi yepasm inowanzosangana nemakumbo, kunyanya hamstrings kana hip flexors.
Clonus inoshandiswa nemisungo kana kuti kunongedza kakawanda. Nzira dzakanyanya kufanana dze clonus ndezvekuti tsoka yomunhu inokurumidza uye ichidzokorora pasi, kana kana bhandi kana mazhe munhu achidzokorora kakawanda mushure mekusimudzirwa (zvakadai sokukanda pamubatanidzwa), pane kungofanirwa kugadzirisa imwe pombi kana jerk.
Kushungurudzika kunogona kufungidzirwa sehupenzi. Kunyange zvazvo isingashamisi sezvimwe zvepasms zvinorondedzerwa pamusoro apa, kana masurupiti ari kunonoka kuporesa, zvinogona kukonzera matambudziko kufamba kana kushandisa maoko neminwe kuita maitiro asina kunaka. Mune zvimwe zviitiko, kuoma kwacho hakugoni kuva dambudziko guru. Mune zvimwe zviitiko, zvinogona kukonzera matambudziko nekufamba kana kunetseka zvakakwana kuti zvipindire nehupenyu hwezuva nezuva.
Ndezvipi zvakafanana Spasticity mu MS?
Nyanzvi nyanzvi dzinofungidzira kuti vazhinji vevanhu vane MS vanoona zvishoma zvepasticity pane imwe nguva. Kunyanya, kumwe kutsvakurudza kunoratidza kuti kusvika kune chetatu chevanhu vane multiple sclerosis vanoshandura mabasa avo ezuva nezuva nekuda kwekusarura.
Chii Chinokonzera Kupararira?
Kungofanana nezvimwe zviratidzo zvakawanda zveSMS, kusarura kunonyanya kukonzerwa nekudzimwa . Nemhaka yekutengesa kana kukanganisa mafungiro emagunha, mishonga inogona kuita zvinhu zvitatu: usasununguka nekukurumidza sezvinofanira, kusimbisa zvisina kufanira, kana kuramba uchingobatwa kwenguva yakareba kana nguva dzose.
Zvinhu zvakasiyana-siyana zvinowedzera kukanganisa, kuita se "nhungamiro" yepasms. Izvi zvinokonzera zvinosanganisira:
- Zvirwere, zvakadai sekupemha, urinary tract kana majekesheni emuviri
- Pain
- Zvironda kana kuputsika kweganda
- Kuwedzera mukati mekushisa kwemukati (semuenzaniso, nekuda kwefivha kana kuwedzerwa muviri)
- Chidzara chakakwana
- Kusunga, kubvisa kana dzimwe nguvo dzinogumbura
- Constipation
- Zvinetso nekunonoka
- Kushungurudzika, kushushikana, kana kuzvidya mwoyo
- Kunze kwechando chakasvibira
Sei Kuwedzera Kunogona Kuparidzika Kuwana?
Kune vanhu vazhinji, kusarura kunogona kuva kushungurudza kana dambudziko rinopfuura rinodzivirira kufamba zvakanaka kune rimwe zuva asi risipo pane rinotevera. Zvichida kungofamba nekukurumidza kana kukwira makwidza kwakaoma kudarika zvaimbove.
Vamwe vanogona kunyatsobatsirwa nekunyatsoperera kana kuoma, sezvo kunogona kudzivisa humwe hutano hwehutachiona hwakasimba uye huita kuti zvive nyore kumira-pfungwa inonakidza.
Izvozvo zvakati, kune vamwe vanhu, maitiro akakomba ekusaziva kana kuoma kunogona kukonzera dambudziko nekufamba, sekufamba kunova kwakaoma kana kusabvira. Semuenzaniso, dzimwe nzvimbo dzingasvibiswa kana dzichibva pamubhedha dzichienda kumaguruvhiri dzinokonzera mambakwedza basa rakaoma.
Mukuwedzera, mamwe magetsi anokwanisa kunge akangoerekana aine simba zvokuti munhu anogona kugwa kubva pachigaro kana mubhedha. Kufunganya kwemafungiro kunogona kuita kuti zvikwata zviitike muzviremera zvinorwadza uye zvinotungamirira kumarwadzo echipiri.
Kupararira Kunogona Kuitwa Sei?
Kune mishonga yakasiyana-siyana yakasiyana-siyana yepasticity, zvichienderana nerudzi rwepasimusi, kusuruvara, uye kusateerera kwayo kumishonga. Zvisinei, chinhu chekutanga kuedza kubvisa zvimwe zvezvinhu zvinotaridzirwa zvinotaurwa pamusoro kuti zvione kana izvozvo zvichibatsira, kunyanya kana zvipimo zvichiita sezviri kuitika mumamiriro ezvinhu chaiwo.
Kana waita izvozvi, kurukura nachiremba wako nzira dzinokwanisa kuti uzviite. Mishonga yepamusoro kana nzira yekugadzirisa yekusarura inosanganisira:
- Kurapa kwepanyama nenzira yekutambanudza, zvichida passively-mumwe munhu anotambanudza miviri yako kwauri, kana kushingaira-unoedza kutambanudza misungo yako, kana kuti hydrotherapy (kudzidzira mumvura)
- Kushandiswa kwemichina inoshandiswa, yakadai sebhesi.
- Mishonga yemumuromo, iyo inosanganisira Baclofen, Zanaflex (tizanidine), uye benzodiazepines (rudzi rwechirwere runobva pane nzvimbo, chimiro, uye kuoma kwemasaisai)
- Intrathecal baclofen, iyo inogadziriswa pombi inokonzera mushonga mune imwe nzvimbo mumutsara wepelinha ane cerebrospinal fluid
- Botox injections
- Kuvhiyiwa umo mitsetse yakakonzerwa-iyi inoshandiswa mumatambudziko akaoma zvikuru.
Vanhu vazhinji vanotarisana nechepachiedza vanosiyana zvakasiyana-siyana uye nzira dzakasiyana-siyana kuti dzisunungure, kusanganisira yoga, reflexology , biofeedback, massage, Tai Chi nevamwe. Nepo kune huwandu hwehupfungwa hwusayenzi hwokusimudzira kushandiswa kwavo, vamwe vanhu vanozviwana zvichibatsira-uye kurapwa uku kunogona kunge kune vamwe vanonzwa zvakanaka zvinobatsirawo.
Pakupedzisira, muromo weannabis kana kuti chirwere chemuromo chinokonzerwa ne cannabis (chinonzi Sativex) chinogona kushandiswa kurapa tsvina-chinyorwa icho Sativex hachibvumirwe iye zvino muUnited States.
Shoko Rinobva
Paunenge uchitarisa unyanzvi hwako, edza nepaunogona napo kuti urambe uchifamba, kutambanudza, kudzivisa zvimwe zvinokonzera, nekuita mishonga sekurapa kwepanyama kana hydrotherapy. Iva nechokwadi chekubata pfungwa yako zvakare-rega chiremba wako azive kuti kusarura kwako kunobatsira sei hupenyu hwako (kana huri) uye uchitarisa izvozvo zvakare.
> Sources:
> National MS Society. (2017). Spasticity.
> Novotna A et al. A-random-blind-blind, placebo-controlled, parallel-group, > enriched-design > study of nabiximols * (Sativex (®)), sekuwedzera-kurapa, mune zvidzidzo zvinokonzera kusagadzikana kunokonzerwa ne multiple sclerosis. Eur J Neurol . 2011 Sep; 18 (9): 1122-31.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (October 2016). Symptom management of multiple sclerosis in adults. Mu: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (May 2016). Clinical features of multiple sclerosis muvanhu vakuru. Mu: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.